RN Clinical Nurse II - 4 HV Cardiovascular Intensive Care Unit (CICU)

Description

*This position qualifies for our UNC Rex Incentive Program, which includes up to $20,000 commitment incentive or up to $25,000 tuition loan forgiveness. In addition, this position is also eligible for up to $10,000 in relocation assistance (based on location) and our employee referral program.

At UNC Health, we are committed to delivering exceptional, patient-centered cardiovascular critical care. The 4 HV Cardiovascular Intensive Care Unit (CICU), located on the 4th floor of the Heart and Vascular Hospital, is a 20-bed critical care unit specializing in the treatment of critically ill cardiac patients requiring intensive monitoring and advanced interventions.

This unit is ideal for nurses who excel in a high-acuity, fast-paced environment and are passionate about cardiovascular critical care, teamwork, and clinical excellence.

The 4 HV Cardiovascular Intensive Care Unit provides specialized critical care for adult and geriatric patients with acute and complex cardiac conditions, including:

• Acute myocardial infarction (AMI)
• Unstable angina
• Post non-surgical cardiac procedures
• Acute coronary syndromes
• Cardiac arrhythmias and hemodynamic instability
• Other cardiac conditions requiring intensive-level monitoring and care

The CICU serves patients ranging from 18 to over 100 years of age, with a median patient age of 67 years. Nurses on this unit care for patients requiring continuous cardiac monitoring, rapid intervention, and multidisciplinary collaboration in a technologically advanced environment.

Care is delivered through a collaborative interdisciplinary team model that includes Clinical Nurses, physicians, Advanced Practice Providers (APPs), pharmacists, respiratory therapists, care managers, chaplains, patient care technicians, and telemetry support staff dedicated to providing exceptional cardiovascular critical care.

As a Clinical Nurse II in the 4 HV Cardiovascular Intensive Care Unit, you will:

• Provide comprehensive, evidence-based nursing care to critically ill adult and geriatric cardiac patients
• Perform advanced patient assessments and continuously monitor cardiac rhythms, hemodynamics, and clinical status
• Care for patients recovering from non-surgical cardiac procedures and those experiencing acute cardiovascular emergencies
• Administer medications and therapies safely, including vasoactive drips and other critical care interventions, in accordance with policies and protocols
• Recognize and respond rapidly to changes in patient condition, utilizing critical thinking and escalation of care when appropriate
• Collaborate closely with physicians, APPs, pharmacists, respiratory therapists, and interdisciplinary team members to develop and implement individualized plans of care
• Educate patients and families regarding diagnoses, treatment plans, medications, recovery expectations, and lifestyle modifications
• Document patient assessments, interventions, and outcomes accurately within the electronic health record (EHR)
• Serve as a clinical resource and mentor to peers while supporting unit-based quality improvement and professional practice initiatives

What You'll Love About Working Here

• A collaborative, supportive team culture focused on excellence in cardiovascular critical care
• The opportunity to care for high-acuity cardiac patients in a specialized intensive care environment
• Exposure to advanced cardiac therapies, technologies, and evidence-based critical care practices
• Strong emphasis on teamwork, professional growth, patient safety, and clinical innovation
• Opportunities for continuing education, specialty certification, and clinical advancement
• Daily collaboration with expert cardiovascular clinicians in a state-of-the-art Heart and Vascular Hospital

Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve.

Summary:
Provides competent clinical nursing care consistent with professional standards. Reporting and accountable to the Nurse Manager/Director, the Clinical Nurse is responsible for coordinating and delivering patient care utilizing the nursing process in a hospital setting.

Responsibilities:
1. Education - Participates in identifying and meeting learning needs of self. Attends education programs based on identified learning needs. With assistance, uses patient education materials relevant to patient population. Assesses readiness to learn of the patient/family/caregivers. Assesses developmental level of patient and factors affecting ability to learn.
2. Evaluation of Care - Identifies expected patient outcomes. Seeks guidance as needed in revision of plan of care. Participates in discussion with members of the interdisciplinary team in evaluation of patient care. Communicates relevant information to promote continuity of care.
3. Implementation - Demonstrates competence in care of patients with complex problems, including population-appropriate physical, psychosocial, educational and safety aspects of care. Performs bedside point of care testing as required for patient care plan. Utilizes healthcare organization and nursing standards, policies and procedures in delivery of care. Organizes and prioritizes care according to patient/family needs. Consults with appropriate resources in a timely fashion regarding patients with complex care issues, unusual teaching needs and/or those at high risk for discharge planning.
4. Leadership - With assistance, develops goals to promote professional growth or minimize limitations. Achieves goals and objectives within identified time frame or renegotiates with supervisor. Is knowledgeable about activities which facilitate intra/interdepartmental collaboration. Participates in development and achievement of unit goals and performance improvement activities. Effectively uses communication systems. Participates in promoting cost-effective care. Gives feedback to co-workers. Is aware of public policy and regulatory guidelines affecting the health care environment. Promotes a safe, clean and secure hospital environment for all.
5. Patient Assessment - Recognizes data from complex situations to determine priorities for care. Includes appropriate physical, psychosocial, education and safety needs. Synthesizes assessment data into meaningful whole prior to communication to others. Assesses and anticipates discharge needs of individual patients and families. Develops relationships with families that promote their ability to advocate for the patient and their own needs.
6. Planning - Collaborates with patient/family to prepare or update the plan of care. Makes use of available multidisciplinary resources in planning care. Begins to use full range of communication as a means to convey planning. Identifies and addresses cultural and ethnic issues in planning patient care. Demonstrates ability to prioritize tasks for patients with complex problems.
7. Research - Reads journals that contain studies or articles that may be applicable to practice. Brings ideas and questions to the staff at large for assessment of applicability.

Other information:
Education Requirements:
* Graduation from a school of professional nursing.
* If hired after January 6, 2014, must be enrolled within four years of employment, and obtain a Bachelor's degree with a major in Nursing or a Master's degree with a major in Nursing within seven years of employment date.
Licensure/Certification Requirements:
* Licensed to practice as a Registered Nurse in the state of North Carolina.
* Basic Life Support (BLS) for Healthcare Provider certification
Professional Experience Requirements:
* One (1) year of nursing experience.
Knowledge/Skills/and Abilities Requirements:

Legal Employer: NCHEALTH

Entity: UNC REX Healthcare

Organization Unit: Rex CICU 4HV

Work Type: Full Time

Standard Hours Per Week: 36.00

Salary Range:$34.22 - $48.38 per hour (Hiring Range)

Pay offers are determined by experience and internal equity

Work Assignment Type: Onsite

Work Schedule: Night Job

Location of Job: US:NC:Raleigh

Exempt From Overtime: Exempt: No

This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Heath Care System. This is not a State employed position.

Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.

UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.